Application For Amended Certificate Of Authority Foreign For Profit Corporation Form Page 2

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FIFTH: This Corporation has been re-domesticated, and is now under the laws of
the state of __________________________
Date _________________, 20 ________.
Date: _____________________________________________
Corporate Name __________________________________________________
(Corporate Seal)
By _______________________________________________
Its President or Vice President
Attest ____________________________________________
Its Secretary or Assistant Secretary
If changing the name you must attach a recent dated Certificate of Fact or if the
name was changed by Merger, a State Certified copy of the Merger must be
attached and an additional $150.00 to also file the Merger.
If changing the jurisdiction (redomesticating) a Good Standing Certificate from
the new home state must be attached.
Notes:
1. If no change, insert "NO CHANGE" and make check payable to the D.C.
Treasurer.
2. This name must be the same as in SECOND, unless the name in SECOND
does not include "Corporation". "Incorporated", "Company" or "Limited", or an
abbreviation thereof, in which case one of the above words or abbreviations must
be added.
Please retain a copy for your records, make check payable to The D. C. Treasurer.
For General Information Call:
The Corporations Division - (202) 442-4432
Please check our corporate website to view organizations required to register, to
search business names, to obtain step-by-step guidelines to register an organization,
to search registered organizations, and to download forms and documents. Simply
log onto our website at , click on “Corporate Registrations” and
procedure as prompted.
To ensure timely and accurate processing of this document, mail all required forms
and payment to:
Department of Consumer and Regulatory Affairs
Corporations Division
P.O. Box 92300
Washington, D.C. 20090
For Overnight Delivery send to:
Corporate

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